NPI | 1487641064 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE ALCANTARA Director 773-732-8208 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 1666453) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2021-12-06 |